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S ' Pr'e6eak17.�9�5 I Z O � �/✓`�' /�� � <br /> W�U.FomI <br /> CITY OF EVERETT--Water ept. <br /> Application No..�.�./,��..... Date.. ......................_.. .1.7..---..19.1..� <br /> lqstal.l�......_�.d'.�' ..`.f....inch w er service i e <br /> For ..............�-..���.........1 .. .. .. . � <br /> . .................................... ........... <br /> On .................?��-�1...... . ._ . ... ............. ........._ Streer. <br /> Lot................. . � Block . ::�r.�:taa�...1«'..�. <br /> ���•. .................................. <br /> AddiLion ......�....,........I.........................y...�.........�......................................:...._.......� � <br /> Remarks .._.:..�:..s�`^:"'._--.....�-�`'`�------�....... "'—. . .. .. <br /> ............................................... . .. . . <br /> O�............................. <br /> ^....,. ......................... ........ �.g..... .. ........ .. . <br /> ,, . <br /> . ..... .. ... . ... . <br /> .....��....._............../....... ...� . . . . . .: .-�-� ---.......,. <br /> ........... ........�-��---... .... . <br /> ti� - �'�=- <br /> ............ ..................... ........................................ ...�... ... .............. <br /> SuperintygdenG f� <br /> � �� � <br /> � LABOR. AND hiATERIAL USED <br /> No. I Size � <br /> -- --- <br /> ...................................................... Lead Cnnncction Complete <br /> .................................................... Snddle Complete <br /> .......................ft............................ ..............................:.........................................PiPc <br /> ..................................................... Scrvicc Cock <br /> ...................................•---............... Servicc Box <br /> ;Vo. Hours LaUor..............................................Cost.................................................... <br /> Cutin............. .....Y�vcr.icnt....................X........................ ........................Sq.Ft. <br /> ....................X........................ �� <br /> .................'-..... <br /> ....................X........................ .� <br /> ........................ <br /> ....................X........................ �� <br /> ........................ <br /> Total ........................Sq.Ft. <br /> �— — -�---- — — <br /> ---- <br /> �: / .i ,-�. . <br /> Remarks..... 2 .�:........:....................:......................................................_...... <br /> ....'............... . ............... . .............................................................................. <br /> ............................. ......................................................................................... <br /> OrderReceived.........................................................................:......%.. ....... <br /> , ;. �. <br /> �Vork Completed.��.-.._r.:..::....-........:........................._... �._.(..:.�.:t:'...... <br /> Foreman/ <br />